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Organization
TARZANA ANESTHESIA MEDICAL GROUP, INC.
Active
Organization
TARZANA ANESTHESIA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOKHTAR MIKHAIL M.D. (MEDICAL DIRECTOR)
(818) 708-5285
Entity
Organization
Contact information
Practice address
18321 CLARK ST, TARZANA, CA 91356-3501
(310) 440-3131
(310) 471-3958
Mailing address
11999 SAN VICENTE BLVD, #440, LOS ANGELES, CA 90049-5131
(310) 440-3131
(310) 471-3958
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
07/06/2006
Last updated
09/11/2025
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